Terrell Amanda Collins, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1297 W Landis Ave
Vineland, NJ 08360-3423

Phone

(856) 507-8548

NPI assigned

Oct 1, 2019

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Terrell Amanda Wood Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspira Health Network Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Mullica Hill, NJ
  • NPI 1255613329
  Medicare reassignment Care Compare group
• Inspira SJ Urgent Care PC

  • Urgent Care Clinic/Center
  • Vineland, NJ
  • NPI 1619320991
  Medicare reassignment
• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  NPD (past)
• Regional Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Vineland, NJ
  • NPI 1972575892
  NPD (past)
• South Jersey Urgicare LLC

  dba Vineland Urgent Care

  • Urgent Care Clinic/Center
  • Vineland, NJ
  • NPI 1144643909
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1245871334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603423",
            "telephone_number": "856-507-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603423",
            "telephone_number": "856-507-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TERRELL",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRELL",
            "last_name": "WOOD",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andre Cole, D.O.
• Brigit Coleman, DO
• Tara Marie Collins-Johnston
• Melissa Margarita Collins, APN
• Octavia Lanna Collins
• Gary Colone, DPT
• Comminity Programs Inc. (Community Medical Day Care)
• Community Health Care, Inc. (CompleteCare Health Network)
• Community Health Care, Inc. (CompleteCare Health Network)
• Community Health Care, Inc. (CompleteCare Health Network)

• Medical Physician Assistant in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.